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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dog Bite In Pregnancy

my brother in law wife was biten by their pet dog today morning. only the dogs teeth impression was found. no symtoms of blood wound. she is four month pregnant. when consulted to the gynacologist she was not able to prescribe treatment for this. could u please advice
Mon, 4 May 2015
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General & Family Physician,  's  Response

Hi

Thanks for posting your query on HCM.
I appreciate your concern for the treatment of dog bite.
Pet dog's vaccination status not mentioned.

Rabies poses a 100% risk for death to pregnant women and a high risk to the fetus.
Because of the high mortality associated with untreated rabies virus infection, pregnancy is not considered a contraindication to post exposure (dog bite) prevention of rabies.

Moreover, rabies vaccine does not have any adverse effect on fetus, mother-to-be and the course of pregnancy. Hence complete post-exposure treatment should be given depending on the category of the exposure.

In view of the evidence based explanation she must receive the anti rabies vaccine as per the following scheduled days 0, 3, 7, 14 and 30 days for the category II bite she had.
If not given earlier during pregnancy she must receive a booster dose of Inj Tetanus toxoid.

If the pet dog appears to normal on the 10th day of the treatment, then the treatment should be stopped.

Hope this advice could be of great help to her in getting the prevention of rabies.

A feed back is appreciated.
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Suggest Treatment For Dog Bite In Pregnancy

Hi Thanks for posting your query on HCM. I appreciate your concern for the treatment of dog bite. Pet dog s vaccination status not mentioned. Rabies poses a 100% risk for death to pregnant women and a high risk to the fetus. Because of the high mortality associated with untreated rabies virus infection, pregnancy is not considered a contraindication to post exposure (dog bite) prevention of rabies. Moreover, rabies vaccine does not have any adverse effect on fetus, mother-to-be and the course of pregnancy. Hence complete post-exposure treatment should be given depending on the category of the exposure. In view of the evidence based explanation she must receive the anti rabies vaccine as per the following scheduled days 0, 3, 7, 14 and 30 days for the category II bite she had. If not given earlier during pregnancy she must receive a booster dose of Inj Tetanus toxoid. If the pet dog appears to normal on the 10th day of the treatment, then the treatment should be stopped. Hope this advice could be of great help to her in getting the prevention of rabies. A feed back is appreciated.